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008-1077-50-050 (2)
St. Croix County Planning and Zoning Fridnv, Devember 14, 2001' x18:59:24 .A.tif Detail Sanitary Information Page / of 1 Computer #: 008 - 1077 -50 -050 Sub /Plat: >35 acres Section: 27 Parcel #: 27.28.16.404A Lot: TNIRNG: T28N R16W Municipality: Eau Galle, Town of CS M: 1/4 114: SE 1/4 NE 1/4 Owner: Werner, Ken & Allison 170 250th Street Woodville, WI 54028 State Permit: 453403 Issued: 07/22/2004 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 Installed: POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Noo..es lssuer/i As Built Plurnber Other _R Additional Notes Money Ow Kevin Grabau >4/1/00 - Not Required Stang, Joe ` " permit appears to have expired without mound $0.00 Not determined { )tf No installation or inspection, but there is some kind of building assessed at $87,600 on the property (not �� a dwelling ?) note on permit paperwork that existing farm house is to stay; this was for another house which is OK if used for Ag practices on 40 acres. U LL''Y C`C v t4-L' I:- r Parcel #: 008 - 1077 -50 -050 12/14/2007 08:55 AM PAGE 1 OF 1 Alt. Parcel #: 27.28.16.404A 008 - TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - WERNER, KENNETH A & ALISON K KENNETH A & ALISON K WERNER 1080 MAPLE ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Ad ess s): ` = Primary Type Dist # Description 250TH ST SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH (� Legal Description: Acres: 39.500 Plat: N/A -NOT AVAILABLE SEC 27 T28N R16W PT SE NE EXC PT TO TOWN Block /Condo Bldg: FOR ROAD FKA 008 - 1077 -50 (404) EXC PT DESC IN 1673/585 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 27- 28N -16W SE NE Notes: Parcel History: Date Doc # Vol /Page Type 05/25/2004 763853 2581/184 WD 07/23/1997 1140/52 TI 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 200203 Use Value Assessment Valuations Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 35.500 3,200 0 3,200 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 3.000 7,200 87,600 94,800 NO Totals for 2007: General Property 39.500 10,500 87,600 98,100 Woodland 0.000 0 0 Totals for 2006: General Property 39.500 10,500 87,600 98,100 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: 04/17/2001 Batch #: 513 Specials: User Special Code Category Amount 010 - GARBAGE SPECIAL ASSESSMENT 198.60 Special Assessments Special Charges Delinquent Charges Total 198.60 0.00 0.00 86.000000 0.000000 0.000000 0.000000 0.000000 0.000000 87.000000 0.000000 0.000000 0.000000 0.000000 0.000000 88.000000 0.000000 0.000000 0.000000 0.000000 0.000000 89.000000 0.000000 0.000000 0.000000 0.000000 0.000000 90.000000 0.000000 0.000000 0.000000 0.000000 0.000000 91.000000 0.000000 0.000000 0.000000 0.000000 0.000000 92.000000 0.000000 0.000000 0.000000 0.000000 0.000000 93.000000 0.000000 0.000000 0.000000 0.000000 0.000000 94.000000 0.000000 0.000000 0.000000 0.000000 0.000000 95.000000 0.000000 0.000000 0.000000 0.000000 0.000000 96.000000 0.000000 0.000000 0.000000 0.000000 0.000000 97.000000 0.000000 0.000000 0.000000 0.000000 0.000000 98.000000 0.000000 0.000000 0.000000 0.000000 0.000000 99.000000 0.000000 C).0000001 0.0000001 0.0000001 0.000000 100.000000 0.0000001 0.0000001 0.0000001 0.0000001 0.000000 Sum 0.819215 Design flow rate 12.452030 Act lat fl rate 13.387615 Design flow rate Percent 1.243364 Parcel #: 008 - 1077 -40 -000 12/14/2007 09:03 AM PAGE 1 OF 1 Alt. Parcel #: 27.28.16.403B 008 - TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - WERNER, KENNETH A & ALISON K KENNETH A & ALISON K WERNER 1080 MAPLE ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 20.000 Plat: N/A -NOT AVAILABLE SEC 27 T28N R16W 20A S1/2 SW NE Block /Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 28N -16W Notes: Parcel History: Date Doc # Vol /Page Type 09/27/2004 775249 2662/293 WD 07/05/2001 650184 1673/585 LC 07/23/1997 1140/52 TI 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 200202 Use Value Assessment Valuations: Last Changed: 05/12/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 20.000 700 0 700 NO Totals for 2007: General Property 20.000 700 0 700 Woodland 0.000 0 0 Totals for 2006: General Property 20.000 700 0 700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch M PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 1.5" Lateral Diameter 2" Orifice # Pressure Disch rate Iow thru se Space loss Prox hole Orifice # 1.000000 2.500000 0.658870 0.658870 0.000370 0.000000 1.000000 2.000000 2.500370 0.658918 1.317788 0.001333 0.000000 2.000000 3.000000 2.501703 0.659094 1.976882 0.002822 0.000000 3.000000 4.000000 2.504525 0.659466 2.636348 0.004807 0.000000 4.000000 5.000000 2.509332 0.660098 3.296446 0.007267 0.000000 5.000000 6.000000 2.516599 0.661053 3.957499 0.010191 0.000000 6.000000 7.000000 2.526790 0.662390 4.619889 0.013569 0.000000 7.000000 8.000000 2.540359 0.664167 5.284056 0.017397 0.000000 8.000000 9.000000 2.557756 0.666437 5.950493 0.021672 0.000000 9.000000 10.000000 2.579428 0.669254 6.619747 0.026396 0.000000 10.000000 11.000000 2.605824 0.672670 7.292417 0.031571 0.000000 11.000000 12.000000 2.637395 0.676733 7.969150 0.037204 0.000000 12.000000 13.000000 2.674599 0.681489 8.650639 0.043303 0.000000 13.000000 14.000000 2.717902 0.686984 9.337623 0.049879 0.000000 14.000000 15.000000 2.767781 0.693259 10.030882 0.056946 0.000000 15.000000 16.000000 2.824727 0.700354 10.731236 0.064519 0.000000 16.000000 17.000000 2.889246 0.708307 11.439543 0.072617 0.000000 17.000000 18.000000 2.961863 0.717153 12.156696 0.081263 0.000000 18.000000 19.000000 3.043126 0.726925 0.000000 0.000000 0.726925 19.000000 20.000000 0.000000 0.000000 0.000000 0.000000 0.000000 20.000000 21.000000 0.000000 0.000000 0.000000 0.000000 0.000000 21.000000 22.000000 0.000000 0.000000 0.000000 0.000000 0.000000 22.000000 23.000000 0.000000 0.000000 0.000000 0.000000 0.000000 23.000000 24.000000 0.000000 0.000000 0.000000 0.000000 0.000000 24.000000 25.000000 0.000000 0.000000 0.000000 0.000000 0.000000 25.000000 26.000000 0.000000 0.000000 0.000000 0.000000 0.000000 26.000000 27.000000 0.000000 0.000000 0.000000 0.000000 0.000000 27.000000 28.000000 0.000000 0.000000 0.000000 0.000000 0.000000 28.000000 29.000000 0.000000 0.000000 0.000000 0.000000 0.000000 29.000000 30.000000 0.000000 0.000000 0.000000 0.000000 0.000000 30.000000 31.000000 0.000000 0.000000 0.000000 0.000000 0.000000 31.000000 32.000000 0.000000 0.000000 0.000000 0.000000 0.000000 32.000000 33.0000001 0.0000001 0.0000001 0.0000001 0.000000 0.000000 33.000000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453403 0 (ATTACH `00 PEQ-MIT) GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Werner, Ken & Allison I Eau Galle Township 008 - 1077 -50 -050 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 27.28.16.404A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER R Type Of System: UN`T Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) L Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil L Yes [7] No [: Yes i .! No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 170 250th St Unknown (SE 1/4 NE 1/4 27 T28N R16W) NA Lot Parcel No: 27.28.16.404A 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = 3.) Contour = Plan revision Required? Yes [J No I Use other side for additional information. Date Insepctor's Signature Cart. No. SBD -6710 (R.3/97) .ti r � --- -- c ) ' �!� pg/c Safety and Buildings Division Coun 201 W. Washington Ave., P.O. Box 7162 Madison, WI '53707 — 9162 Sanitary Permit Nu (to be filled in by Co.) (608) 266 -3151 53 3 Department of Commerce Sts Plan I D. Number Sanitary Permit Application q� z -mss. (�• In accord with Comm 9311, Wis. Adm. Code, persrntat information you provide may be used for secondary purposes Privacy r7 - . — ..- -� Pro' (if different lm s) i Application Information — Please Print All I 1. A nforma t, Property Owners Name Parcel # Lot N Block 4e, P1 s Mailing Address Property Location — ,-�— S� t4 section � ? City, State zip�C/oolk I P/hoQne(NN mbeerr e� �j / / (cir e) ZG �� `f N R l(�orW� IL Type of Buiiding (cbeck all that apply) Q�� �'' ivision Name _ CSM Number f l or 2 Family Dwelling - Number of Berooms d tl "fi � ❑ PubliclCommercial - Descri Use n I City ❑Village ownship of & t it ❑ State (hurled - Describe U III. Type of Permit (Chet only one box on line A. Coinplete line if applicable) A. System [0] Replacement System ❑ Treatment/ ETank ent Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of er to New List Previous Permit Number and Date Issued I ] Before Expiration Plumber 1V. Type of POWTS S m: Check all ❑Non _pressurised In- Ground Mould ? 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Filter ❑ Con CoConstructed acte Wetland [] Pressurised In Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Send Recirculating S thtric Media Filter ❑ Leachi Chamber ❑Drip Line ❑ Gravel -less Pipe [I Other (explain) V. Diavicirsaffreat t Area Information: plea System Elevation Des Flow Sgpd) Delign Soil Application Rate(g�dsfy Dispersal Area Required (sf) Dispersal Proposed (st) l Gil Vt. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel ibex Plastic Gallons Gallons of Unitn Concrete Constnrcted Glass New Existing •G � Tanks Septic or ttoldir>tit Tank Z' Treatment Unit Dos hrgChamba l GC" t 'r VII. stsibil' Statement- 14 fire am nsibllity 1r iastallaHoa of tYe POW" aMowm on the attschcd as Plumber's Name ( Plu s Signatu PRS Number Business Phone Number r So c t� �? 3q 2 s — Ph 's Address (Streeet City, SAO, Zi I ) , ' , q 0 o . �c o�d3 l 6c ul` Ike (,Q Vill. County/ partment Use On Sanitary Permit Fee 'nclttdes Groundwater DateIssued I nt Signatu (No Stamps) pproved VZG cd Surcharge Fee) 22 iven n for Denial IX. Conditions of Approval/Reasons for Disapproval 31 ` 2 W 6'+1 SYST EM OWNER: 2" 1 Septic tank, effluent filter and C __ dispersal cell must all be servicad / maisltailled re' dJAAce 't l+.- S&V�. l-..� as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. 4):! �� POWLJ 3 -6 6- k A rtA.t ;tt� Attach eaupksa pwa tft do C--V only) far du systmr as not ft" dun 810 :11 sit LJ W� I Pot t =-X-- �� ) SBD -6398 (R. 01/03) `' i C kA s� �o Q� 19+►� ttl3 PLOT PLAN Page 3 of Scale 1 "= 7 , y0 M 3 4 �t-wl caves - c� B • 3 Id X1"1 S1Z�'�r1 3 01's� C)>; ce:,� e' V Z" ( . V N � �Z�t-_ •PtutP�1Y- L1ly -N` 1.s_ > _So= r-�zmx +�t�vx�, ,_ _ _ -- MA =? ? `S ' _P-i -o t IvrO _- - Nall O NOTES • ►0- fi�E 1.- Elevations shown are existing ground elevations unless otherwise noted. 2. Install 41 observation pipes with approved caps. ( Z required). 3. Septic tank to be ( 00D / 65 0 gallon ca acity manufactured by , � ?\�Mzz. cum c�Z (' 10oo Ic -MR wle- ZrReL Pi t_ . 4. Bench mark S Ste i°v30V@ Divert surface Vatdi- ar6jj d' s` 5'teia to " "' . �` ` 1. y prevent ponding,at the uphill side. RECEIVED Safety and Buildings 4003 N KINNEY COULEE RD NOV 2 5 2003 LA CROSSE WI 54601 -1831 Nvisconsin TDD #: (608) mi.us /sb 5T. CROIX COUNTY www.commerce.state.wi.us /sb Department of Commerce ZONING OFFICE wwwmisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 21, 2003 CUST ID No.267341 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Num PLAN APPROVAL EXPIRES: 11/21/2005 Transaction ID No. 946208 SITE• Site ID No. 668688 Ken & Allison Werner Please refer to both identification numbers, 168 250TH St above, in all correspondence with the agency. Town of Eau Galle, 54028 St Croix County SEi /4, NEIA, S27, T28N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 932286 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes Condit! and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in PPR chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: N D AR RTMENT 0 General Approval Requirements: SEE CORRES • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (8.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (8.6/99). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. ARTHUR L WEGERER Page 2 11/21/03 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11 , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 TITLE SHEET C , e of N0� 1 r 3 MOUND SYAAjCe & ZOQ 3 FOR A BEDROOM RESIDENCE p u, This plan has been prepared in accordance with the Mound Component Manual SBD -1057 P and the Pressure Distribution Manual SBD- 10573 -P C 2_ b l9q� C P. b149� LOCATED IN THE SE 1/4 OF THE N e-:' 1 /4 OF SECTION 1 T > g N, R � W, TOWN OF , • , COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR 5y D0 Z N ED COMMENCE fAN tD1NG PREPARED BY PONDEN WEGEFcEF:z S; C3 2 L . TEST 2 r.'1 ca AND. DES I G;V SEFRV = CE P.O. Box 74 421 N.Hain.St. River Falls, WI 54022 Phone 715 - 425 - 0165 Fax 715- 425 -6864 �'�`� w• . f Y Jy. q - •V 5. JOB NO. C —) S3 Mound System Management Plan P age Z of Pursuant to Comm 83.54, Wis. Adm. Code Septt c Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps be tested to verify proper operation. If an effluent filter is installed within the tank it shall be. inspected and serviced as necessary. Mound and Pressure Distribution S tem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an. impending hydraulic failure requiring additional, more frequent monitoring. General neral This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. _ No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Conti nae ncv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance: If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at The system installer at The tank manufacturer at The effluent filter manufacturer at g(- Z'e ��- s �- EL The pump manufacturer at PLOT PLAN Scale 1 "= y T Page 3 of �s I 9 �f ti vs' or Z F Yr,, I I a tY0 or `'"C �.� ` l� ' bo �.UatP►9e7 3 cove B . 3 ��' � �(� S �1Z�'Y•1 �f V ^ 1 ' N -- - -- N Z� Plu1P21Y t lS > S oy F fzz M �UV - - -- W�11� BE > >o ` ?'t }^ 1'Jt1► 1�aA 7Z-S' PjZ -OkA `F ✓YC . o -6S rn ; �To NOTES: ►0 fivE Ty 1.- Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1 000 / 65 0 gallon ca acity manufactured by w 1�S�Z t`-O�J CtZ W LP tinuo l6 50 -MTZ 1,v f f - l ao 0 ZF'fSez. Fi L7 4. Bench mark S - Ste'` ia3oVE �. Divert surface water around system to prevent ponding,at the uphill side. • A_ prc v ec S y'� he t1c CG•v E:1:1C aSTH C33 - Districuticn Pipe Mediun Sand _ Tcpscil II i u y C u- t p . . n - Slope Distribution Ceii of Farce Mcin Flowed_ z" to 2- Aggregate From Punp Lc;+er CROSS SECTION OF A MOUND SYSTEM F Ft. C o. S Ft. A. 9 F Ft. Li-near Lozdir_c Pa C O G?D /LET FT E S Ft Desicn Loaeiac Ra =p, C-: /c0 FT I 1 Ft. J 7 Ft. K I Ft. Pas Sian L — 1 Z F' o. Fcrc= M cin Ix 3Z Ft. I I •Observcticn Pipe �- -------------------- - -------- A o � - - - - -- q Distribution Pipe Cell of to 2k" aggregate Observation. Pipe --- (Aneybr secsrely) PLAN VIED OF A MOlTND SYSTEM - 11/21/ 10:23 17154256864 WEGERER SOIL TESTING PAGE 02 Distribution Pipe Layout Page -S� of Plane the holes at the bottom of the distribution pipes at equal, spacing. Remove all burrs from the pipe and holes. Txtend the end of each lateral up with the use of Iong turn or 43° firing to a point within fix inches of the final grade. Terminate the ends of the laterals with a va2ve,.'th=ded cap or . threaded plug. Provide access from final grade for the valve, threaded rap or dreaded plug. PVC PVC PVC Lateral Manifald Lateral x x x L9taral Lan h — Lnaiai Lenvth p ois16 on Lins IT ht'su1�Ct� 1 �UC. '�ovL'� Y1r}1N M y P 2y Ft. Hole Diameter � Inch S ' Ft. Lateral I Inch(e 's X ' 7 Inches Manifold ! J /- -Inches Force Main " IncFies of holes /Pipe 13 Invert Elevation 'of.Laterals Ft. 1,,x6 _ - Combination Septsc; and r • • PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS' PAGE OF •VENT CAP WEATHEK PROOF JUNCTION BOX . ti C.I. VENT PIPE APPROVED LOCKING 1 10' FROM OOOR, MANHOLE COVER wIV 1 r , . 73 P�Lt1GtJ PIPE ,hUDOW OR FRESH wA(iIJlrJG LP.gEL. wlH1cLTISttT �, ALP IJJTAKE S aowcuir L "+mow. �. • . �. � I . Fl N ISM IN PROVIDE �AtRTIGHT SEAL . \ 8 AFFLC I I I Approved Zp1811. r-w R I I� I Approved joint cj/ P _ 0600 I i I joint w/ PVC pipe 6 .I I AL&KA PVC pipe I I i I Ou C I I V. - � O FT LLE I PUMP —1 - -� ` OFF 0 CONCRETE eLocx i s RISER EXIT PERMIT'ED OIJLy IF TAWK MAIJUFACTURI`R HqS SUCH APPROVAL 3"ApPQo.tp 8>=00 t tv4 SEPTtC E SPECIFICATIOKJS OOSE TAWK MAIJUFACTURER: QJUCt-(I c HUMBER OF DOSES: 7 TAWK SIZE : �L� 1011UVb n -"IZ PER Q+.� GALLOAlS DOSE VOLUME r ALARM f S' QrLQr_CYTzO S L Sj - & j Q INCLUOIIJ 6ACXFLOW: GALLONS. MODEL WUMBER: �iW . CAPACITIES: A= INCHCS OR 3 � � GALLOIJs SWITCH TUPC: Cl/Vt 2 5= IIJCHES'OR 3 G�LLOLIS PUMP MANUFACTURER: GQU LD S C: _ T _ IUCHES OR l� Z t,ALL0U5 MODEL MUMBEM D= 111CHES OR Z © � GALLONS SWITCH TtIPE: ° L VR-�{ JJOTE: PUMP A1.J ALpi�M q E TO bC� MINIMUM DISCHARGE RATE 3I '�g GPM INSTALLED 6M SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF A PIPE.. - FEET + MINIMUM NETWORK SUPPLY PRESSURE , b` S O FEET (S + S FEET OF FORCE MAIN X Z ' L ` FTZ, FLFRICTION FACTOR_. 0-33 FEET •° TOTAL DtIUAMIC. HEAD _ As per manufacturer IZ ,D gal /in. Liquid depth ��``� Goulds G 7 0� Z Submersible _ s r; Effluent Pump �9 3871 EPO4 u EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■Motor Cover. Thermoplas- • Homes components. Available for automatic and tic cover with integral handle • Farms Motor. and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, manual operation. Automatic points. • Water transfer 115 or 230 V, 60 Hz, 1550 models include Mechanical RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty • DewatEring automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. • Solids handling capability: automatic reset. ■ EPO4 Impeller. Thermo - 3 /4' maximum. • Power cord: 10 foot Plastic Semi -open design AGENCY LISTING —�, • Capacities: up to 55 GPM. standard length, 16/3 SJTO with Pump out vanes for • p rong Total heads: up to 24 feet. with three mechanical seal protection. sp Canadian Standards Association P 9 9 roundin g C. Discharge size: 1 /2' NPT. Plug. Optional 20 foot ■ EP05 Impeller Thermo- • Mechanical seal: carbon- length, 16/3 SJTW with Plastic enclosed design for (CSA listed model numbers rotary/ceramic- stationary, three prong grounding plug improved performance. end in "F" or "AC ".) BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running dry without damage to s 30 i I i I °.• . i r *, components. Pump: EP05 a • Solids handling capability: c 25 %' maximum. a a • Capacities: up to 60 GPM. • Total heads: up to 31 feet. S2 6 20 ' • Discharge size: llft' NPT. Z 5 • Mechanical seal: carbon- a 15 rotary/ceramic- stationary, BUNA -N elastomers. a 4 I _ ~ .• EP05 • Temperature 3 - 10 3 i -9 104 °F (40 °C) continuous j 140 °F (60°C) intermittent. 2 , 0 0 0 L 10 20 3o 40 50 GPM .•• 0 2 4 6 8 10 12 rWlh CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 83871 RECEIVE® Wisconsin Department of Co merce S IL EVALUATION REPORT Aivision of Safety and Buildin s Page of NOV irf�cgor� "with omm 85, Wis. Adm. Code County �� t , Attach complete site plan o pap o le s than 8 1/2 x 11 ches in size. Plan must `Kl include, but not limited to: rticaic @I�0"ence oint (Blv1), direction and Parcel I.D. percent slope, scale or dim locati and distance to nearest road. DDB `7 — SD - QS Q Please print all information Revi ed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I i P roperty Owner Property Location ` t� U�.� �^ 1 � Z.., }i� rZ ' 1/4 QEE1 /4 S 2 - - ? T Z & N R E (or W Property Owner's Mailing Address L # Block # Subd. Name or CSM# - n+ ST , City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road New Construction Use: Ej Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Publig or commercial - Describe: Parent material _ �Q fS�S �j 1 L_ `1 _ Flood Plain elevation if applicable ft. General comments and recommendations: wl) h,J 1 r�vr� 1 �" Ul; S ft-V FILL . �U'-j� QZ, lZ�3_o a Boring # ❑Boring . evn'F , g Ground surface elev. 1 d l7 ft. De limiting tor? - ® Pit Soil Application Rate 1 Horizon Depth Dominant Color Redox Description Texture Structure nsistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color ,Gr. Sz. Sh. 'Eff#1 `Eff#2 Z �t Zp lc) R- 3` - S i } 3 Z�S�22 1 - - I -- ' Boring # 1 ❑p Boring Ly pit Ground surface elev. �Q ft Depth to limiting factor Z� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 C-tiu �. U`� - t 1 eSb Effluent #1 = SOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Prin_ Q 3 re CST Number Art .hur L: Wegerer d CD — )-S 220254 Ad dress We g e r e r Soil T e s t i n g & Design Service Date Evaluation conducted Telephone Number 421 N. Main St. River Falls, UI 0 ? 715- 425 -0165 Property Owner waZQ Parcel ID # C7�f��) Q S 0 page Z of Boring # ❑Boring ❑ pit Ground surface elev. ZS ft. Depth to limiting factor Z in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ` c7 q' )OH'(�31 Z — Sl I Z`F� �,)2 S � . _• S - 8 • � L 10 M2 3/6 3 Z_v -ZS �- 5�� -3ty �t �- SCR -sus 1\►-� _ _ � •� Sol >n-F1^ 0-111i z, - 3 F -1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Horizonx _Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Ap plicatio n GPD /ft Rate in. Munsell Qu. Si. Cont. Color Gr. Sz. Sh. z •Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. t SBD -8330 (86/00) PLOT PLAN Page of Scale 1' =L)Q' � � a Pt927- j g.3 S �11Z1'Vl �'toY�1 L r r .lbg04 �o N 715 220254 Ors -1S3 CST Signature Date Telephone No. CST No. Job NO. ST CRO1X COUN Y SEPTIC TANK MAINTENANCE AGREEMENT AND n OWNERSHIP CER'T'IFICATION FORM ownoe/Buyer e- /� 1 ° Lx-)e- K N e-' J Mailing Address l S = 1 l l Property Address _ (verification required from Planning Department for new construction) City/State 01- `C� w h �, Parcel Identification Number G LEGAL DESCRIPTION Me— f�- � Property Location - � � y., � '!., Sec. �, T-2 r—_ ,PN -R _L-- W, Town of Subdivision So 'XI Lot # ,r Certified Survey Map # �— . Volume ^ r/ _, Page # Warranty Deed # �7 3 S' . volume Page # c � Spec house D yes O no Lot lines identifiable 0 yes Q no SYSTEIVI MAYN'rENANC Improper use and maintenance of your septic system could result in its Premature failme to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. Wbm you put into the system can affect the hnedon of the septic tank as a treatment stage in the waste disposal system - The property owner agrees to submit to St. Croix Zoning Department a ratification form, signed by the owner and by a 1 theoWaitxwastewat &;p=1system waswplumber.jousneyman plumber. �cWpk =berorahcensedptmsperverrlYm8 that ( ) is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. ed have read the above 0TAXeureuts and agree to maintain the private sewage disposal system with the standards S te. *c a erei% ga t of Commerce and the Department of Natural Resotroes, State of Wisconsin • Certification set fonih, . asset by the eII Office within 30 stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning days of the three year expiration date. IONATURE OF APP LICANT DATE ONRMR CE TIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owncr( of the property desen'bed above, by virtue of a warranty deed recorded in Register of Deeds Office- ` .--- DATE SIGNATURE OF APPLICANT R••••• Any information that is rots - represented may result in the sanitary pemut being revoked by the Zoning Department'"" •• Include w ith this application; a stamped warranty decd from the Register of Deeds offim a copy of the certified survey Map if reference is made in the wananty deed 1673PAGE 585 ' STATE BAR OF WISCONSIN FORM 11 - 1982 4E&!E . . LAND CONTRACT, r01 8 4 KAT14LEEN H. WALSH IndMdualandCorporate REGISTER OF DEEDS (TO BE USED FOR ALL TRANSACTIONS WHERE OVER 5T. CROIX CO. ,, WI Document Number $25.000 IS FINANCED AND IN OTHER NON- CONSUMER ACT TRANSACTIONS) RECEIVED FOR RECORD CONTRACT, by and between Douglas Werner, a single 07 -05 -2001 9:30 AM person ("Vendor", whether one or more) and Kenneth A. Werner and LAND CONTRACT Alison K. Werner, husband and wife as survivorship marital EXEMPT # CERT COPY FEE: proggrty ("Purchaser", whether one or more). Vendor sells and agrees COPY FEE: to convey to Purchaser, upon the prompt and full performance of this TRANSFER FEE: 60.00 contract by Purchaser, the following property, together with the rents, RECORDINS FEE: 2 2.00 profits, fixtures and other appurtenant interest (all called the "Property "), in St. Croix County, State of Wisconsin: The South Half of the Southwest Quarter of the Northeast Quarter (S 1 /: of SW 1 /4 of NE 1 /4 ); The North Half of the North Half of the Southeast Quarter (N 1 /1 of N% ofSE'/.); AND The East 72.6 feet of the South 300 feet of the Southeast Quarter Recording Area of the Northeast Quarter (SE 1 /4 of NE 1 /4 ); ALL in Section Twenty -seven (27), Township Twenty -eight (28) Name and Return Address North, Range Sixteen (16) West. ROBERT J. RICHARDSON 5233 McKay Avenue P.O. Box 399 Spring Valley, WI 54767 008- 1077- 60 -000: 008 - 1078 -00 -000. 008-1007-40-000: OOB- 1078 -00 -000 M Parcel Identification Number (PIN) This is not homestead property. fis) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at wherever directed the sum of $ 20.000.00 in the following manner. (a) $QM at the execution of this Contract; and (b) the balance of $ 20.000.00 , together with interest from date hereof on the balance outstanding from time to time at the rate of AYA percent per annum until paid in full, as follows: Payments shall be made on an annual basis in the amount of $2,500 beginning April 1, 2002. Provided, however, the entire outstanding balance shall be paid in full on or before the 1st day of April 2001 (the maturity date). Following any default In payment, Interest shall accrue at the rate of 7.5% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited Into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after April 1. 2002 (OR) permission of V*ndor-* In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of Insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on July. 2. 2001 • Cross out one. STATE BAR OF WISCONSIN Information Professionals Company, Fond du Lac, WI LAND CONTRACT - Individual and FORM No. 11 - 1982 8ufi- 655 -2021 Corporate U. 2581 P 1$`f 7c53ss3 • STATE BAR OF WISCONSIN FORM 1 - 2000 KATHLEEK H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between Douglas Werner, a single person, Grantor, and Kenneth A Werner and Alison K. Werner, husband and wife as 05/25/2004 04:00PM survivorship marital property, Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys to Grantee the following EXEMPT # described real estate in St. Croix County, State of Wisconsin (the "Property") REC FEE: 11.00 (if more space is needed, please attach addendum): TRANS FEE: 150.00 The Southeast Quarter of the Northeast Quarter (SE 1/4 of NE 1/4) of COPY FEE: Section Twenty -seven (27), Township Twenty -eight (28) North, Range CC FEE: Sixteen (16) West, Town of Eau Galle, EXCEPT the East 72.6 feet of the PAGES: 1 South 300 feet thereof. n Recording Area Name and Return Address G Jennifer A. O'Neill BAKKE NORMAN, S.C. P.O. BOx 399 Spring Valley, WI 54767 Together with all appurtenant rights, title an Interests. 008- 1077 -50 -000 Parcel Identification Number (PIN) This is homestead property (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, highways, utility rights and reservations of record, and will warrant and defend the same. Dated thi& ;K r day of May 2004 * Dougla erner * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) Douglas Werner STATE OF ) ) ss. County ) authentiestse,d this — day 9 M . 2004 Personally came before me this day of the above named * Jennifer A. O'Neill TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person(s) who executed the foreeoine authorized by 6706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY JENNIFER A. O'NEILL BAKKE NORMAN S.C. Notary Public. State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) ' Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO (800)655 -2021 www.infoprofonns.coniSTATE BAR OF WISCO WARRANTY DEED FORM No. 1 .2000